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If more than 5 days have passed, skip the dose and resume on your next regularly scheduled day

If symptoms are persistent, severe, or concerning, its important to check in with your provider

Olson, J., Ameer, M., & Goyal, A

Once-Monthly Obesity Medication Shows Promise for Those With and Without Type 2 Diabetes. July 17, 2025

Hypoglycemia is rare with metformin monotherapy but can occur when the medication is combined with insulin or sulfonylureas, or in unusual circumstances such as severe caloric restriction or advanced kidney disease

As described above, GLP-1RAs attenuate albuminuria and marginally reduce eGFR decline